Meter Swap Request Number: 13232
Public works Division
Service Reqt�est
Problem Addresa: 1200 Norton Ave Requested By: George Berkstrand
Department: WA'IER Addresa: 1200 Norton Avic
Fridley,MN 55432
Problem/I:aue: INSTALL AMR METER Phone Numbers 763-257-7995
Se6ednfed Iiate: 2017-02- � Sc6edaled Tlme: 02:OO:QO
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AG"IION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-02-02
ACIION TAI�N: �
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St�: �Progress Suba�ittcr Has Beea �
Centaeted
D�te Eompleted: Completed by:
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Frac(ley,6UIN 55432
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!/�� here6y authorize#he C'ri.yy asE�rFdley andJor 9ts empioyees to do what Bs necessary
replace+the wa$er meter. 1�nderstand ti�at fihe pro�aea�iy owner 9s liabie for the snrater line from the main to She premise and ali irrterior
plurrabing• (Per City�ode 402.06) i alsv hold the C'rtq�#Faidley andrts employees haemless#or ang damages t[tat may occur�rhde�loing tfi
operation. This 8o include,but no4limited to valves,pipin�walis,floors or the curb stop 6ox ancl service lie�e. in understand 1 am also req+
to obtaiea a permit prio�r to arry a►ror4c,�f necessary.
�11YA1.f1AETER READIIyG(old mefierj_ � � � ���
Aiame: ����MJ"'� Address 1�-Z��L.�� � r"'�` ` ��_
Phone Rlumber / G�� 2,.J� ` �F a�� Z, � ��
�gnature Witness Signature ~�
OL�MET�R#��-^� —` I - 1�
OLD RfADIMG_��-2,� �'i C�
NEW METER# � {�� ��
NEW READtIVG__t J
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FRiDLEY CITtf CODE
CFlAPTER 402.WA'fER,STORM WA�'ER AND SANITARY SEWER
ADN114YISi'RATION
{Ref Ord No 113,�64,565,566,629,635,662,922,988,i144,i156,1191)
4(J2.5 PER4U1fC EEE
Prior to constructing or s�epair of any water of sewer iine connecting the existing muniapal system and arry house oc bufldir�for which#he
appiicatifln is made,the owner or corrbactor shall be required to obtain a permit for such connection,and shall pay a permit fee as pmyidec(i
Chatrter 11 of this Code. After such cannectioss has been made,the Water and Sewer Deparfimertt shall be notified. tt shail im untawfui to co�
ar�y connecting(ine until an inspection has been made and such connection and#he wor�c inaderrt fihereto has been appro�ed by fihe�i�q as a
proper and suitable connection.
402.06 REPAiRS qRiD MAt9�TENANCE TO C04MHECTiON
After the initiat connectivn has beert made to the water service cu�b siop box or the sewer tead at the property line or a water serric�e lead(�a:
been extended to the property line for connection,the appiicarrt,owner,or occupant or user of such premises sf�atl be liabie for a!!repairs
required fio any water l�ne and sewer lines necessary for connection of the premises from tfie main to ffie prerrirses. ff the�rty owner
requesfis mairrtenance senrice or repairs be perEormed by the C'rty,the property owner shail be charged for the costs of ihe mairKenance and/s
repairs,including ne+cessary street repairs at a rate set annually by an admististra#ive pol'scy. tt shat!be the responsbility of the applicartt,
owner,ockvparrt or user to perform standard mairrtenance of the sewer service line from the premises to#ie main Br�dudir�g debris dearing or
root sutting and to mairrtain the water ser+rice curb stop box for operataility and afi�ch fieight as wili ensure that it remains ai�ve the finishec
grade of the land or property. {Ref 638,1156,1191�